Organization
PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY
Active
Other names
Prescription Pad Pharmacy North
Organization subpart
No
Provider details
NPI number
Authorized official
KEN KENYON PHARMD (DIRECTOR OF PHARMACY SERVICES/AO)
(425) 228-3440
Entity
Organization
Contact information
Practice address
3915 TALBOT RD S, RENTON, WA 98055-5738
(425) 656-4050
(425) 656-5036
Mailing address
3915 TALBOT RD S, RENTON, WA 98055-5738
(425) 656-4050
(425) 656-5036
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60213412
WA
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108623
PK
—
05
—
6007975
—
WA
Enumeration date
02/15/2007
Last updated
09/23/2016
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